Answer: You should go with O09. 89 (Supervision of other high risk pregnancies) as this fact puts her at risk for fetal issues should she be exposed to Rubella.
Rubella [German measles] ICD-10-CM B06. 89 is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
Other specified counselingICD-10 code Z71. 89 for Other specified counseling is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
ICD-10 code B05 for Measles is a medical classification as listed by WHO under the range - Certain infectious and parasitic diseases .
If a pregnant woman is not immune to rubella and catches it during the first 5 months of pregnancy, she usually passes the disease on to her fetus. If the fetus gets rubella during the first 12 weeks of pregnancy, the baby will likely be born with many problems.
Rubella (German Measles, Three-Day Measles) Rubella is a contagious disease caused by a virus. Most people who get rubella usually have a mild illness, with symptoms that can include a low-grade fever, sore throat, and a rash that starts on the face and spreads to the rest of the body.
The patient's primary diagnostic code is the most important. Assuming the patient's primary diagnostic code is Z76. 89, look in the list below to see which MDC's "Assignment of Diagnosis Codes" is first. That is the MDC that the patient will be grouped into.
Z71. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z71. 89 became effective on October 1, 2021.
If the immunization is related to exposure (eg, the administration of a Tdap vaccine as a part of wound care), the ICD-10 code describing the exposure should be used as the primary diagnosis code for the vaccine, and Z23 should be used as the secondary code.
CPT Codes Mapped to CVX CodesCPT CODECPT DescriptionCVX Code90707Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use0390708Measles and rubella virus vaccine, live, for subcutaneous use0490710Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use9491 more rows
B05. 9, Measles without complication.
ICD-10 code B26 for Mumps is a medical classification as listed by WHO under the range - Certain infectious and parasitic diseases .
Having a high amount of body fat (body mass index [bmi] of 30 or more). Having a high amount of body fat. A person is considered obese if they have a body mass index (bmi) of 30 or more.
Encounter for screening for other diseases and disorders Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
99381 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; infant (age younger than 1 ...
Preventative medicine counselingCPT 99401: Preventative medicine counseling and/or risk factor reduction intervention(s) provided to an individual, up to 15 minutes may be used to counsel commercial members regarding the benefits of receiving the COVID-19 vaccine.